Mary Jo Stine, MD is a
Pediatrics physician based in Spencer, Indiana. Mary Jo Stine is licensed to practice in Indiana (license number 01029565A) and her current practice location is 35 Bob Babbs Dr, Spencer, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 665-1700.
NPI number for Mary Jo Stine is 1619965803 and her current mailing address is 8003 Castleway Dr, Indianapolis, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619965803.
Physician's Profile
Full Name | Mary Jo Stine |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 35 Bob Babbs Dr, Spencer, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619965803
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 01/24/2023
Medical Identifiers
Medical identifiers for Mary Jo Stine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619965803 | NPI | - | NPPES |
100330490 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01029565A (Indiana) | Secondary |
208000000X | Pediatrics | 01029565A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Jo Stine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Jo Stine, MD 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (317) 576-1335 | Mary Jo Stine, MD 35 Bob Babbs Dr, Spencer, IN 47460-6828 Ph: (812) 665-1700 |
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